Provider Information for 1942727706
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MATTHEW MENARD LPC
Sex: Male
NPI: 1942727706
Last Updated: 2023-12-25
Certification Date: 2023-12-25
Certification Date: 2023-12-25
Details
| Name | Value | ||||||||
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| NPI | 1942727706 | ||||||||
| Enumeration Date | 2017-08-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 209 WILLOUGHBY AVE WARREN, PA 16365-1474 United States Phone: 412-848-8955 | Fax: | ||||||||
| Primary Practice Address | 436 PA AVE W WARREN, PA 16365-2238 United States Phone: 412-848-8955 | Fax: | ||||||||
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